MARY BETH DORNHEIM (LICSW) – Clinical Social Worker, NPI 1356487227
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
258 CLINICAL SOCIAL WORKER in SD
Provider Addresses for MARY BETH DORNHEIM (LICSW)
106, North 5th Street, Marshalltown, Marshall Township, Marshall County, Iowa, 50158, United States
MARSHALL, MN 562581304
Phone: (218) 395-0483
Type: Mailing
800 E 21st St
Sioux Falls, SD 571051016
Phone: (605) 322-4005
Type: Location
East 21st Street, Sioux Falls, Minnehaha County, South Dakota, 57105, United States
SIOUX FALLS, SD 571051016
Phone: (605) 322-4005
Type: Location
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone:
Type: Mailing
2400 W 49TH ST
SIOUX FALLS, SD 571056581
Phone: (605) 312-8700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190304002112 | I | Clinical Social Worker | SD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 266 | 66 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 46 | 45 | $0 |
| 90834 | Psychotherapy, 45 minutes | 14 | 12 | $0 |
Insurance plans in this area (ZIP 56258)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | SD | |
| P S Y C H I A T R Y | SD | |
| General Surgery | SD | |
| General Surgery | SD | |
| P S Y C H I A T R Y | NE | |
| P S Y C H I A T R Y | SD | |
| - | SD | |
| Qualified Audiologist | SD | |
| Hand Surgery, Orthopedic Surgery | SD | |
| Nurse Practitioner | SD |
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